Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.76 / $831.25 / $2,747.00	Facility		$404.76	$831.25	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $185.12 / $185.12 / $207.12	Facility	54	$185.12	$185.12	$207.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.94 / $291.89 / $647.52	Professional		$245.94	$291.89	$647.52
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $941.10 / $3,445.00	Facility		$464.01	$941.10	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,018.85 / $1,018.85 / $1,018.85	Facility	54	$1,018.85	$1,018.85	$1,018.85
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $561.48 / $2,213.19	Professional		$275.38	$561.48	$2,213.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.49 / $437.53 / $781.08	Facility		$340.49	$437.53	$781.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.49 / $565.45 / $777.66	Professional		$340.49	$565.45	$777.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.87 / $487.10 / $841.06	Professional		$297.87	$487.10	$841.06
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $289.02 / $620.86 / $6,679.00	Facility		$289.02	$620.86	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $356.64 / $435.12 / $600.86	Professional		$356.64	$435.12	$600.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $348.16 / $699.24 / $898.51	Professional		$348.16	$699.24	$898.51
Health New England Facility/Professional Facility Modifier Low / Median / High Price $245.32 / $245.32 / $571.54	Facility		$245.32	$245.32	$571.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $339.12 / $347.71 / $880.48	Professional		$339.12	$347.71	$880.48
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $12,000.00	Facility		$627.00	$1,818.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,018.85 / $1,018.85 / $1,018.85	Facility	54	$1,018.85	$1,018.85	$1,018.85
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $316.80 / $611.65 / $2,213.19	Professional		$316.80	$611.65	$2,213.19
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.88 / $454.82 / $919.42	Professional		$311.88	$454.82	$919.42